Organization
SOAR PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WEIMER MS PT (MEMBER/OWNER)
(308) 225-1870
Entity
Organization
Contact information
Practice address
1430 NEWTON ST, SIDNEY, NE 69162-1963
(308) 225-1870
Mailing address
1430 NEWTON ST, PO BOX 31, SIDNEY, NE 69162-1963
(308) 225-1870
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1850
NE
Other
Enumeration date
11/27/2014
Last updated
11/27/2014
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